Www.usask.ca/nursing 1 Interprofessional Education in Pain Management Karen Hewson College of...

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Interprofessional Education in Pain Management

Karen Hewson College of Nursing

University of SaskatchewanOctober 26, 2012

www.usask.ca/nursing

To provide students with the opportunity to collaborate with students and professionals from a variety of disciplines while acquiring knowledge and experience in the area of pain management

To have positive impact on the health care of individuals experiencing pain

Overall Goals


Interprofessional Education (IPE)

“occasions when two or more professionals learn with, from and about one another to facilitate collaboration in practice”

(CAIPE, 1997)


Why IPE?


Drivers of IPE


Drivers Aging populations Chronic illness Complex health issues Primary health care initiatives Recruitment and retention of health care professionals PATIENT SAFETY

(Commission on the Future of Health Care in Canada, 2002)


Canadian Context"If health care providers are expected to work together

and share expertise in a team environment, it makes sense that their education and training should prepare them for this type of working arrangement.“

Roy Romanow, Commissioner,Commission on the Future of Health Care in Canada November 28, 2002


Benefits of Teamwork

Interdisciplinary teams tend to develop more creative solutions to complex problems because of their members’ diverse academic backgrounds and experience

(Carr, Brockbank & Barret, 2003)


Why IPE in Pain Management? “Pain is a multidimensional phenomena

beyond professional boundaries, for doctors, nurses, physiotherapists and other professionals all have input into its management”

Despite advances in pain management, many patients continue to suffer from unrelieved pain

(Carr et al., 2003)


Why IPE in Pain Management? Inadequate knowledge among health

professionals has been cited as one of the most significant factors in poor pain management

Inadequate preparation in undergraduate programs has been reported by medicine, nursing, and physiotherapy

Inadequate preparation in health science programs across Canada and the UK has been reported

(Carr et al., 2003; Watt-Watson , et al.,2009; Xue et al., 2007)


Survey of 96 health professionals Inpatient oncology service (Xue et al., 2007)

Educational preparation, attitudes & knowledge

towards pain management

Educational preparation, attitudes & knowledge

towards pain management

26 Med/Oncology

RNs

26 Med/Oncology

RNs

18 pharmacists

18 pharmacists

28 physicians

28 physicians

Ying et al. (2007)

24 Gynecology/ Oncology RNs


Excellent Good Fair Poor

RNs Medical Oncology 4% 16% 60% 20%

RNs Gynecology/Oncology 9% 30% 43% 17%

Pharmacists 6% 18% 53% 23%

Physicians 0% 31% 38% 31%

Ratings of Adequacy of Education &Training in Cancer Pain ( Xue et al.,2007)


Knowledge of Pain Management(Xue et al, 2007)

Profession %

RNs Medical Oncology 60%

RNs Gynecology /Oncology 50%

Pharmacists 65%

Physicians 55%

Overall 55%

NOTE: different disciplines = different knowledge


Findings: Attitudes toward Pain Management All generally reported positive attitudes toward pain

management :

a) beliefs regarding patient reporting of pain b) analgesic addiction

Physicians more likely than nurses or pharmacists to believe that patients over-reported their pain

(Xue et al., 2007)


Improving pain management through interprofessional education: Evaluation of a pilot project (Carr et al., 2003)

Description of Projecta) Interprofessional steering groupb) Senior expert lecturerc) Four half day IP pain management sessionsd) Physicians, nurses, PT/OT


Findings (Carr et al., 2003)

Valued chronic pain sessions more than acute sessions Valued learning with and from other professions Increased documentation of pain assessments Increased interprofessional discussion on ward, in

patient rounds Decreased referrals to pain team Increased requests for PT, alternative strategies


Useful Links on IPE

http://www.cihc.ca/ http://saskhealthsciencesnetwork.ca/


ReferencesCarr, E., Brockbank, K., & Barrett (2003). Improving pain management through interprofessional education: evaluation of a pilot project. Learning in Health and Social Care, 2, 1, 6 -17.Center for the Advancement of Interprofessional education (2002). Retrieved from http://www.caipe.org.uk/resources/Commission on the Future of Health Care in Canada: The Romanow Commission. Retrieved

http://www.hc-sc.gc.ca/hcs-sss/hhr-rhs/strateg/romanow-eng.phpPatient First Review (2009)Retrieved on-line/www.health.gov.sk.ca/patient-first-reviewWatt-Watson, J., McGillion, M., Hunter, J. et al. (2009). A survey of pre-licensure pain curricula in health science faculties in Canadian universities. Pain Research & Management

.

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